踝关节骨折合并三角韧带损伤手术中修复三角韧带与不修复对于预后的影响研究

Study on the Effect of Repairing or not Repairing the Triangular Ligament on the Prognosis of Ankle Fracture Complicated with Triangle Ligament Injury

目的对踝关节骨折合并三角韧带损伤手术中修复三角韧带与不修复对于预后的影响作探讨。方法该次研究选取2016年1月—2017年12月收治的踝关节骨折合并三角韧带损伤患者48例为研究对象,选择双盲法将纳入对象均分组为:选择术中不修复三角韧带方案处理24例为对照组患者,选择术中修复三角韧带方案处理24例为观察组患者;将两组患者临床治疗效果作对比分析。结果两组患者手术时间及术中出血量数值经统计学软件分析得出差异无统计学意义(P>0.05);观察组患者术后VAS评分、住院时间及骨折愈合时间等数值均比对照组优(P<0.05)。结论踝关节骨折合并三角韧带损伤患者手术治疗过程中修复三角韧带的效果更佳。

Objective To investigate the effect of repair and non-repair of triangular ligament on the prognosis of ankle joint fracture combined with triangular ligament injury. Methods In this study, 48 patients with ankle fracture and triangular ligament injury were selected as the research subjects from January 2016 to Deceber 2017, the subjects were divided into two groups: 24 cases of control group were treated with non-repair of triangular ligament during operation, and24 cases of observation group were treated with the scheme of repairing triangular ligament during operation. The clinical effect of the two groups was compared and analyzed. Results There was no statistically significnat difference between the two groups in the operation time and intraoperative bleeding volume by statistical software analysis(P>0.05). The VAS score, hospitalization time and fracture healing time of the patients in the observation group were all equal to that of the control group. Compared with the control group(P<0.05). Conclusion The effect of repairing deltoid ligament is better in the patients with ankle fracture complicated with deltoid ligament injury.